Multiple factors influencing mortality in hemodialysis patients

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dc.authoridalataş, hacer/0000-0002-6441-0362
dc.authoridARSLAN, Nurgül/0000-0002-7618-0859
dc.authorwosidalataş, hacer/HKO-8944-2023
dc.authorwosidARSLAN, Nurgül/ABM-5700-2022
dc.contributor.authorYaprak, B.
dc.contributor.authorArslan, N.
dc.contributor.authorAlatas, H.
dc.date.accessioned2024-08-04T21:00:01Z
dc.date.available2024-08-04T21:00:01Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVE: Both decreased food intake and elevated inflammation contribute to malnutrition in hemodialysis (HD) patients. Malnutrition, inflammation, anthropometric measurements, and other comorbidity factors were investigated in this study as potential indicators of mortality in HD patients.PATIENTS AND METHODS: By measuring geriatric nutritional risk index (GNRI), malnutrition inflammation score (MIS), and prognostic nutritional index (PNI), 334 HD patients' nutritional status was assessed. Through the use of four different models and logistic regression analysis, the predictors of each individual's survival status were examined. The models were matched using the Hosmer-Lemeshow test. On the survival of patients, the effects of malnutrition indices in Model 1, anthropometric measurements in Model 2, blood parameters in Mod-el 3, and sociodemographic characteristics in Model 4 were investigated.RESULTS: Five years later, 286 individuals were still on hemodialysis. Patients who had a high GNRI value had a lower mortality rate in Model 1. The body mass index (BMI) value of the patients was found to be the best predictor of mortality in Model 2, and it was found that patients with high muscle percentage had a lower mortality risk. The difference in urea level measured at the beginning and end of hemodialysis was found to be the most potent predictor of mortality in Model 3, although C-reactive protein (CRP) level was also discovered to be one of the best predictors for this model. The final model, Model 4, revealed that mortality was low-er in women than in men and that income status was a reliable predictor of mortality estimation.CONCLUSIONS: The best indicator of mortality in hemodialysis patients is the malnutrition index.en_US
dc.identifier.endpage1103en_US
dc.identifier.issn1128-3602
dc.identifier.issue3en_US
dc.identifier.pmid36808357en_US
dc.identifier.startpage1095en_US
dc.identifier.urihttps://hdl.handle.net/11616/103724
dc.identifier.volume27en_US
dc.identifier.wosWOS:000943329300009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChronic kidney diseaseen_US
dc.subjectHemodialysisen_US
dc.subjectMalnutri-tionen_US
dc.subjectNutritionen_US
dc.titleMultiple factors influencing mortality in hemodialysis patientsen_US
dc.typeArticleen_US

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